CARE PLAN (BARIATRIC)

Ongoing Care Before, During and After Surgery

Bariatric surgery is the first step in your weight loss journey. Reaching your weight goals and managing your weight in the long term requires a continuous commitment to an improved lifestyle.

Losing Weight After Surgery

Surgery is just one tool to help you lose weight, you also need to follow a healthy diet and become physically active.

We consider your bariatric surgery as a tool that makes these changes easier. Your doctor will

Learning how to eat healthier and incorporating regular exercise into your everyday life can be challenging, but the end results make the struggle worth it.

Patients who have undergone successful bariatric surgery not only look fitter they have more energy, can engage in more activities, and are often able to resolve their co-morbid conditions.

Our Weight Loss Team

A dedicated team of individuals will make sure that you have the support and assistance you need while you recover from surgery and work towards your weight loss goals. The qualified and friendly professionals who can help you include:

  • Your doctor: who will monitor your progress and guide you as you recover and lose weight

  • A dietician: who will assist you as you adjust to a new, healthy diet by offering advice and preparing meal plans for you

  • An exercise physiologist: who will help you by developing a training program to stay physically active

  • A counsellor: who will oversee your mental and emotional health and offer support and guidance as you adapt to the big changes in your life

Weight Loss Care Program

Losing weight can be physically and mentally draining and every patient’s journey will be different. [doctor] offers a program designed to help you meet your weight loss goals.

The program covers the preoperative to postoperative needs of patients incorporating ongoing support along with a range of tools and resources.

Patients are provided with:

  • A follow-up schedule to help monitor postoperative progress.

  • Dietary advice before and after surgery.

  • A recommended program for exercise.

  • Psychological counselling, if needed.

  • Preoperative patient screening.

  • Information about how to achieve their weight loss goals.

  • Details about the procedure.

  • What to expect after the surgery.

  • Open communication between the patient, [doctor] surgeon and the bariatric support team.

Care Plan (Obstetrics)

Congratulations on your new pregnancy.

I am pleased to provide the following information, which may be of help during your pregnancy.

Pregnancy Care Plan

Appointments - How often do I need to see [doctor]?

Every 4 Weeks until you are 28 weeks pregnant, then

Every 2 Weeks: until you are 36 weeks pregnant, then

Every Week until delivery.

These appointments need to be kept regardless of when ultrasounds, blood tests or any other diagnostic investigations are carried out.

Appointments

As is the nature of obstetrics, [doctor] would like to advise his patients that occasionally he is called out to deliver and that sometimes appointments need to be rescheduled at the last minute and this is why it is important to provide ALL telephone numbers to staff.

Paediatrician

I will organise a Paediatrician to come and see your baby (or babies!) after delivery in hospital - so if you do not want to see one please advise me.

There is a charge for a Paediatrician to visit. It is advisable to have your baby checked while in hospital but this is your decision.

Hospitals

The hospitals I confine patients at

Freemasons Maternity Hospital in East Melbourne,

St Vincent’s Maternity Hospital in Fitzroy,

Francis Perry Hospital in Parkville.

These hospitals are all excellent in terms of the service they provide for patients having babies.

This can be further discussed at your first visit and [doctor]’s secretary will be only too pleased to arrange the necessary hospital booking for you.

Availability

Who will deliver my baby if [doctor] is unavailable?

If for any reason [doctor] is unable to be at the birth of your baby a consultant

Obstetrician and Gynaecologist of equal standing will be appointed to act as a locum.

Referrals

Do I need a Current Referral from a General Practitioner?

Yes. Medicare requests that patients seeing a specialist of any type need a referral in order to claim their full a Medicare benefit

PLEASE BE AWARE THAT YOUR CURRENT REFERRAL FROM YOUR GENERAL PRACTITIONER MAY NOT COVER YOU THROUGHOUT YOUR PREGNANCY.

IN ORDER TO MINIMISE YOUR OUT-OF-POCKET EXPENSES, IT IS IMPORTANT TO PROVIDE A REFERRAL TO COVER YOUR ENTIRE PREGNANCY INCLUDING YOUR SIX WEEK POST-NATAL CHECK.

Travel

How far into my pregnancy can I fly?

interstate is not recommended after 36 weeks

international is not recommended after 34 weeks.

[doctor] can provide the airline with a letter if required

Obstetric On-call Arrangements

Because of the nature of obstetrics, there will be times when I am unavailable.

Should this occur a consultant Obstetrician and Gynaecologist of equal standing will be appointed to act as a locum.

Minor Problems

Minor problems may occur during the pregnancy with which you may be concerned.

If any bleeding occurs, especially during the first three months, we should be notified immediately and it will be usual to arrange an ultrasound scan to ensure that all is well.

Coughs and colds, which can occur, can usually be treated with symptomatic measures such as Panadol, Panamax, Aspirin, Durotuss cough mixture and Sinutab. These medications are quite safe and can be obtained without necessarily contacting me. Headaches can similarly be treated with Panadol, up to six tablets per day.

Nausea is a common symptom in the first trimester of pregnancy and I would advise Vitamin B6 100mg to be taken twice daily. This can be purchased over the counter at the chemist.

Any problems that occur later in the pregnancy should be notified to me. I shall arrange the necessary treatment according to the symptoms.

ALSO REFER TO INFECTION EXPOSURE